2021 House of Delegates Apportionment

Memo to: Executive Directors Constituent Medical Associations

From: James L. Madara, MD

Date: February 3, 2021

Subject: 2021 Constituent Society Delegate Apportionment

I am pleased to provide delegate apportionment figures for 2021. Last year our American Medical Association (AMA) again experienced membership growth, but the House of Delegates will be approximately the same size as it was in 2020. The 54 states and territories in the House of Delegates will be apportioned 306 delegates.

I should note at the outset that the data used to apportion delegates are not comparable to our AMA’s official membership figures. You will recall that delegate apportionment from 2020 through 2022 includes pending members, and while the number of such members at the end of 2019 grew the House considerably, the numbers at the end of 2020 did not, thus leaving the House of Delegates at more or less the same size it was last year.

Delegate apportionment for 2021 is based on official AMA membership records as of December 31, 2020. Those records include both members and pending members, individuals who are not members at the time they pay their dues to become members in the following year. Apportionment includes members who joined during calendar year 2020 (this would include renewing members), pending members for 2021, and those pending members from late-2019 who had renewed their memberships in the Association for 2021. This comports with Bylaw 2.1.1.1, which states, “The December 31 count will include pending members for purposes of apportionment; however, pending members shall not be recounted the following year absent membership renewal.” Stated differently, one must be a pending member in consecutive years to be counted for apportionment purposes.

Bylaws 2.1.1.2.1 and 2.1.1.2.1.1 also affected this year’s apportionment. The former determines Pennsylvania’s apportionment given its membership losses from 2019, and the latter—the “freeze” adopted at November’s meeting—proved to benefit Alabama, Arkansas, California, Colorado, District of Columbia, Florida, Hawaii, Illinois, Kansas, Massachusetts, Michigan, Minnesota, Missouri, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, South Carolina, South Dakota, Virginia, and Washington. The counting of pending members affected most of these states.

One delegate is apportioned for every 1,000, or fraction thereof, AMA members and eligible pending members. The attached table provides a state-by-state breakdown. Pending members who do not renew their memberships in 2021 (for 2022) will not be counted for apportionment purposes next year.

Those states that have endorsed regional medical student delegates or resident sectional delegates should be aware that these delegates are not reflected in the figures that appear in the constituent society apportionment table, but rather appear in separate tables. Regional medical student delegates and resident sectional delegates will be seated with their endorsing societies when meetings take place in person. You should note, however, that student and resident alternate delegates serving temporarily will be seated in the

2 space designated for the student or resident endorsed by your society even though they are likely to have been endorsed by another society; please be sure your delegation is aware of this situation. States are encouraged to include the students and residents they have endorsed in delegation activities and communications.

At this time, the format of June’s House of Delegates meeting has not been determined, as the pandemic is ongoing. Nevertheless, the credentialing process for that meeting will begin next month. Under AMA bylaws, delegates and alternate delegates must be certified before each meeting.

Please ensure that your delegates and alternate delegates have renewed their AMA memberships for 2021. AMA bylaws specify that all delegates (§2.0.1.1) and alternate delegates (§2.8.1) must be AMA members, and individuals who are not members will not be included on a delegation roster. You will be notified of any discrepancies. Delegation rosters can be found at https://www.ama-assn.org/house-delegates/hod- organization/delegation-certification-rosters.

Questions about the delegate apportionment process or the credentialing process should be directed to Roger Brown, Director, Office of House of Delegates Affairs, at 312-464-4344 or by email to [email protected].

Attachments

Constituent Society Delegate Apportionment - 2021

AMA Regular Delegates Delegates Additional Members Number of AMA Members Delegate Under Under 2020 2021 as of Delegates as of Apportionment Bylaw Bylaw Delegate Delegate 31 Dec 2019* 2020¹ 31 Dec 2020* 2021² 2.1.1.2.1 2.1.1.2.1.1³ Allocation4 Allocation

Total 275,956 304 253,389 278 304 304 2 306

Alabama 3,214 4 2,698 3 4 4 0 4 Alaska 369 1 336 1 1 1 0 1 Arizona 4,746 5 4,208 5 5 5 0 5 Arkansas 2,139 3 1,873 2 3 3 0 3 California 32,179 33 29,279 30 33 33 0 33 Colorado 4,377 5 3,877 4 5 5 0 5 Connecticut 3,503 4 3,070 4 4 4 0 4 Delaware 675 1 540 1 1 1 0 1 District of Columbia 2,026 3 1,804 2 3 3 0 3 Florida 15,297 16 14,357 15 16 16 0 16 Georgia 5,351 6 5,525 6 6 6 0 6 Guam 27 1 24 1 1 1 0 1 Hawaii 1,107 2 977 1 2 2 0 2 Idaho 582 1 545 1 1 1 0 1 Illinois 11,756 12 10,795 11 12 12 0 12 Indiana 4,910 5 4,596 5 5 5 0 5 Iowa 3,287 4 3,140 4 4 4 0 4 Kansas 2,009 3 1,667 2 3 3 0 3 Kentucky 3,878 4 3,735 4 4 4 1 † 5 Louisiana 5,811 6 5,749 6 6 6 0 6 Maine 1,375 2 1,171 2 2 2 0 2 Maryland 4,722 5 4,966 5 5 5 0 5 Massachusetts 12,619 13 11,366 12 13 13 0 13 Michigan 12,629 13 11,824 12 13 13 0 13 Minnesota 4,949 5 3,761 4 5 5 0 5 Mississippi 2,465 3 2,142 3 3 3 0 3 Missouri 5,360 6 4,859 5 6 6 0 6 Montana 689 1 658 1 1 1 0 1 Nebraska 1,768 2 1,626 2 2 2 0 2 Nevada 1,611 2 1,420 2 2 2 0 2 New Hampshire 923 1 789 1 1 1 0 1 New Jersey 7,661 8 7,433 8 8 8 0 8 New Mexico 1,120 2 1,046 2 2 2 0 2 New York 21,128 22 18,221 19 22 22 0 22 North Carolina 5,503 6 4,595 5 6 6 0 6 North Dakota 793 1 628 1 1 1 0 1 Ohio 11,264 12 10,077 11 12 12 1 † 13 Oklahoma 3,664 4 3,185 4 4 4 0 4 Oregon 2,139 3 2,273 3 3 3 0 3 Pennsylvania 12,723 13 11,240 12 13 13 0 13 Puerto Rico 1,570 2 1,453 2 2 2 0 2 Rhode Island 1,023 2 892 1 2 2 0 2

South Carolina 4,464 5 3,814 4 5 5 0 5 South Dakota 1,007 2 910 1 2 2 0 2 Tennessee 4,959 5 4,380 5 5 5 0 5 Texas 19,081 20 19,900 20 20 20 0 20 Utah 1,768 2 1,533 2 2 2 0 2 Vermont 435 1 394 1 1 1 0 1 Virgin Islands 38 1 31 1 1 1 0 1 Virginia 7,309 8 6,953 7 8 8 0 8 Washington 4,276 5 3,977 4 5 5 0 5 West Virginia 1,903 2 1,765 2 2 2 0 2 Wisconsin 4,736 5 4,186 5 5 5 0 5 Wyoming 205 1 176 1 1 1 0 1 APO/FPO/Foreign 834 950

Notes: * Includes "pending members" per §2.1.1.1 of the bylaws. The apparent overall drop in 2020 is entirely due to the way pending members are counted. 1 These figures do not include delegates allocated under §2.1.1.2.1, §2.1.2.1, §2.1.2.2 or §2.5 of the bylaws. 2 The regular apportionment of delegates is one delegate for each 1000, or fraction thereof, AMA members in the state (§2.1.1 of the bylaws). This includes pending members through 2022. 3 §2.1.1.2.1.1 is commonly referred to as a freeze and will expire at the end of 2021. 4 §2.5 of the bylaws provides an additional delegate for those societies represented by the individuals elected to be speaker and vice speaker.

CONSTITUENT SOCIETIES ENDORSING MEDICAL STUDENT SECTION REGIONAL DELEGATES AND ALTERNATE DELEGATES Alternate Delegates Delegates Region 1 Arizona 1 1 California 1 1 Colorado 1 Nevada 1 New Mexico 1 1 Region 2 Illinois 1 Minnesota 1 Missouri 2 Nebraska 1 Wisconsin 1 Region 3 Louisiana 2 Texas 4 2 Region 4 Alabama 1 Florida 2 2 South Carolina 2 1 Region 5 Indiana 1 Michigan 1 1 Ohio 2 West Virginia 1 Region 6 Maryland 1 1 New Jersey 1 1 Pennsylvania 1 1 Virginia 1 1 Region 7 Connecticut 1 2 Maine 1 Massachusetts 1 2 New Hampshire 1 New York 1 1 TOTAL 27 27

This table reflects information available as of January 29, 2021 and is subject to change.

Pursuant to American Medical Association Bylaws (§2.3 and subsections), medical student regional delegates and alternate delegates were elected utilizing a regional structure. The seven medical student regions are:

Region 1: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming. Region 2: Illinois, Iowa, Minnesota, Missouri, Nebraska, Wisconsin Region 3: Arkansas, Kansas, Louisiana, Mississippi, Oklahoma, Texas. Region 4: Alabama, Florida, Georgia, North Carolina, Puerto Rico, South Carolina, Tennessee. Region 5: Indiana, Kentucky, Michigan, Ohio, West Virginia. Region 6: Delaware, District of Columbia, Maryland, New Jersey, Pennsylvania, Virginia. Region 7: Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, Vermont.

For 2021, regional student delegates were apportioned according to year-end 2019 AMA medical student membership figures within a region, with a delegate being apportioned for every 2,000 student members in the region and additional delegates apportioned per Bylaw 2.3.2.

Medical Student Section regional delegates are “seated with the constituent association representing the jurisdiction within which such delegate’s educational program is located” (Bylaw 2.10.8). Alternate delegates substituting for a delegate shall be seated in the place of the delegate being temporarily replaced.

Societies Endorsing Resident and Fellow Sectional Delegates and Alternate Delegates Alternate Delegates Delegates American Academy of Child and Adolescent Psychiatry 1 American Academy of Family Physicians 1 American Academy of Neurology 1 American Academy of Ophthalmology 1 American Academy of Otolaryngology-Head & Neck Surgery 1 American Association of Public Health Physicians 1 1 American College of Emergency Physicians 1 1 American College of Obstetricians and Gynecologists 1 1 American College of Radiology 3 1 American College of Surgeons 1 American Geriatrics Society 1 American Psychiatric Association 1 1 American Society for Radiation Oncology/ARRO 1 American Society of Plastic Surgeons 1 California Medical Association 2 Connecticut State Medical Society 1 Florida Medical Association 1 Illinois State Medical Society 1 Indiana State Medical Association 1 1 Infectious Diseases Society of America 1 Kentucky Medical Association 2 Maryland State Medical Society (MedChi) 1 Massachusetts Medical Society 1 1 Medical Association of Georgia 1 Medical Society of the State of New York 1 Medical Society of Virginia 1 Minnesota Medical Association 1 Mississippi State Medical Association 1 Nebraska Medical Association 1 Nevada Medical Association 1 North Carolina Medical Society 1 Ohio State Medical Association 1 Pennsylvania Medical Society 1 1 Texas Medical Association 1 1 Wisconsin Medical Society 1 Total 31 17

This table reflects information available as of January 29, 2021 and is subject to change.

For 2021, Resident and Fellow Section sectional delegates were apportioned according to year-end 2019 AMA resident and fellow membership figures, with a delegate being apportioned for every 2,000 members (AMA Bylaws, §2.4 and subsections).

Resident and fellow sectional delegates are to be seated with their endorsing society (Bylaw 2.10.9). Alternate delegates who are substituting for a delegate will sit with the society that endorsed the delegate for whom the alternate is substituting.

Memo to: Executive Directors National Medical Specialty Societies

From: James L. Madara, MD

Date: February 3, 2021

Subject: 2021 Specialty Society Delegate Apportionment

I am pleased to provide delegate apportionment figures for 2021. The apportionment is based on official AMA membership records and Policy G-600.027, “Designation of Specialty Societies for Representation in the House of Delegates.” Constituent societies have been apportioned 304 delegates for 2021 (not including two delegate slots for the speakers per bylaw 2.5). Consequently, 304 delegates were apportioned across the national medical specialty societies in the House. Several societies were adjusted upwards to maintain the parity called for in the bylaws.

Every society seated in the House of Delegates is entitled to one delegate, but the following 66 national specialty societies have more than one delegate (with a like number of alternate delegates):

AMDA-The Society for Post-Acute and Long-Term Care Medicine ...... 2 American Academy of Child and Adolescent Psychiatry ...... 2 American Academy of Dermatology ...... 4 American Academy of Family Physicians ...... 16 American Academy of Hospice and Palliative Medicine ...... 2 American Academy of Neurology ...... 4 American Academy of Ophthalmology ...... 4 American Academy of Orthopaedic Surgeons ...... 5 American Academy of Otolaryngology-Head and Neck Surgery ...... 3 American Academy of Pediatrics ...... 5 American Academy of Physical Medicine and Rehabilitation ...... 2 American Academy of Sleep Medicine ...... 2 American Association of Clinical Endocrinologists ...... 2 American Association of Gynecologic Laparoscopists...... 3 American Association of Neurological Surgeons ...... 2 American Association of Neuromuscular & Electrodiagnostic Medicine .... 2 American College of Cardiology ...... 7 American College of Chest Physicians (CHEST) ...... 3 American College of Emergency Physicians ...... 8 American College of Gastroenterology ...... 2 American College of Obstetricians and Gynecologists ...... 14 American College of Occupational and Environmental Medicine ...... 2 American College of Physicians ...... 34 American College of Radiology ...... 8 American College of Rheumatology ...... 2 American College of Surgeons ...... 7 American Gastroenterological Association ...... 2

American Geriatrics Society ...... 2 American Institute of Ultrasound in Medicine ...... 2 American Psychiatric Association ...... 8 American Roentgen Ray Society ...... 3 American Society for Clinical Pathology ...... 3 American Society for Dermatologic Surgery ...... 2 American Society for Gastrointestinal Endoscopy ...... 2 American Society for Radiation Oncology ...... 2 American Society for Reproductive Medicine ...... 2 American Society of Addiction Medicine ...... 2 American Society of Anesthesiologists ...... 7 American Society of Breast Surgeons ...... 2 American Society of Cataract and Refractive Surgery ...... 2 American Society of Clinical Oncology ...... 3 American Society of Echocardiography ...... 2 American Society of Hematology ...... 2 American Society of Interventional Pain Physicians ...... 2 American Society of Nuclear Cardiology ...... 2 American Society of Plastic Surgeons ...... 2 American Society of Retina Specialists ...... 2 American Thoracic Society ...... 3 American Urological Association ...... 2 Association of Military Surgeons of the United States¹ ...... 2 College of American Pathologists ...... 4 Congress of Neurological Surgeons ...... 2 Heart Rhythm Society ...... 2 Infectious Diseases Society of America ...... 2 North American Spine Society ...... 2 Radiological Society of North America ...... 3 Renal Physicians Association ...... 2 Society for Vascular Surgery ...... 2 Society of American Gastrointestinal Endoscopic Surgeons ...... 2 Society of Critical Care Medicine ...... 2 Society of Hospital Medicine ...... 3 Society of Interventional Radiology ...... 2 Society of Laparoendoscopic Surgeons ...... 2 Society of Thoracic Surgeons ...... 2 The Endocrine Society ...... 2 United States and Canadian Academy of Pathology ...... 2

Remaining national medical specialty societies are each apportioned one delegate (and one alternate) for 2021. The net result is that there will be 304 specialty society delegates this year. Delegate apportionment figures for all specialty societies appear in the 2021 Specialty Society Delegate Apportionment table accompanying this memo.

Several specialty societies have endorsed resident and fellow sectional representatives (§2.4 of the bylaws) and are listed in a second table below. The delegate numbers above and in the Specialty Society Delegate Apportionment table do not include these resident and fellow sectional delegates, but allowance will be made to seat them with their endorsing societies when meetings take place in person. You should note, however, that resident sectional alternate delegates serving temporarily will be seated in the space designated for the resident endorsed by your society even though the alternate delegate is likely to have 3 been endorsed by another society; please be sure your delegation is aware of this situation. States are encouraged to include the residents they have endorsed in delegation activities and communications.

Traditionally, delegates for national medical specialty societies with a single delegate have been seated in the House with the delegate’s home state. Over the last few years, several specialty societies have indicated that they would like to be seated together, and these groupings will continue. Other specialty society delegations that would like to be seated together in the House should notify Roger Brown in writing no later than March 15, 2021. Again, this is dependent on holding the meeting in person.

Please ensure that your delegates and alternate delegates have renewed their AMA memberships for 2021. AMA bylaws specify that all delegates (§2.0.1.1) and alternate delegates (§2.8.1) must be AMA members, and individuals who are not members will not be included on a delegation roster. You will be notified of any discrepancies. Delegation rosters can be found https://www.ama-assn.org/house-delegates/hod- organization/delegation-certification-rosters.

Questions about the delegate apportionment process or the credentialing process should be directed to Roger Brown, Director, Office of House of Delegates Affairs at 312-464-4344 or by email to [email protected].

Attachment

2021 Specialty Society Delegate Apportionment

Date of Members 5 year at 5 year A-21 Specialty Society review1 review2 delegates Academy of Physicians in Clinical Research A-18 107 1 Aerospace Medical Association A-18 165 1 AMDA-The Society for Post-Acute and Long-Term Care Medicine A-16 853 2 American Academy of Allergy, Asthma and Immunology I-18 324 1 American Academy of Child and Adolescent Psychiatry A-16 1,408 2 American Academy of Cosmetic Surgery A-19 319 1 American Academy of Dermatology A-18 3,117 4 American Academy of Facial Plastic and Reconstructive Surgery A-18 180 1 American Academy of Family Physicians A-18 14,805 16 American Academy of Hospice and Palliative Medicine A-18 697 2 American Academy of Insurance Medicine I-16 61 1 American Academy of Neurology A-18 2,934 4 American Academy of Ophthalmology I-18 3,021 4 American Academy of Orthopaedic Surgeons I-18 3,897 5 American Academy of Otolaryngic Allergy Inc. A-20 259 1 American Academy of Otolaryngology-Head and Neck Surgery I-18 2,081 3 American Academy of Pain Medicine I-18 371 1 American Academy of Pediatrics I-18 3,827 5 American Academy of Physical Medicine and Rehabilitation I-18 1,146 2 American Academy of Psychiatry and the Law A-18 393 1 American Academy of Sleep Medicine A-18 1,202 2 American Association for Geriatric Psychiatry A-20 233 1 American Association for Hand Surgery A-18 200 1 American Association for Thoracic Surgery A-19 226 1 American Association of Clinical Endocrinologists I-16 917 2 American Association of Clinical Urologists, Inc. A-18 409 1 American Association of Gynecologic Laparoscopists A-19 1,571 3 American Association of Neurological Surgeons I-18 787 2 American Association of Neuromuscular & Electrodiagnostic Medicine I-17 778 2 American Association of Plastic Surgeons A-19 193 1 American Association of Public Health Physicians A-19 48 1 American Clinical Neurophysiology Society A-18 103 1 American College of Allergy, Asthma and Immunology A-19 544 1 American College of Cardiology I-19 6,403 7 American College of Chest Physicians (CHEST) I-19 2,388 3 American College of Emergency Physicians I-19 6,980 8 American College of Gastroenterology I-19 1,261 2 American College of Legal Medicine A-20 52 1 American College of Medical Genetics and Genomics A-16 347 1 American College of Medical Quality A-18 179 1 American College of Mohs Surgery A-20 306 1 American College of Nuclear Medicine I-19 49 1 American College of Obstetricians and Gynecologists A-20 13,123 14 American College of Occupational and Environmental Medicine I-20 646 2 American College of Physicians A-20 33,190 34 American College of Preventive Medicine A-20 326 1

Date of Members 5 year at 5 year A-21 Specialty Society review1 review2 delegates American College of Radiation Oncology A-16 316 1 American College of Radiology A-20 7,370 8 American College of Rheumatology I-17 1,111 2 American College of Surgeons A-20 5,869 7 American Gastroenterological Association I-20 1,273 2 American Geriatrics Society I-20 724 2 American Institute of Ultrasound in Medicine A-16 1,174 2 American Orthopaedic Association I-20 387 1 American Orthopaedic Foot and Ankle Society A-16 218 1 American Psychiatric Association I-20 6,837 8 American Rhinological Society A-18 172 1 American Roentgen Ray Society I-20 2,533 3 American Society for Clinical Pathology A-16 2,094 3 American Society for Dermatologic Surgery I-17 1,001 2 American Society for Gastrointestinal Endoscopy I-16 1,283 2 American Society for Metabolic and Bariatric Surgery A-19 271 1 American Society for Radiation Oncology I-16 776 2 American Society for Reconstructive Microsurgery A-18 168 1 American Society for Reproductive Medicine A-17 983 2 American Society for Surgery of the Hand I-16 439 1 American Society of Abdominal Surgeons I-15 243 1 American Society of Addiction Medicine A-18 821 2 American Society of Anesthesiologists A-16 5,958 7 American Society of Breast Surgeons A-20 609 2 American Society of Cataract and Refractive Surgery A-16 1,085 2 American Society of Clinical Oncology I-17 2,363 3 American Society of Colon and Rectal Surgeons A-16 225 1 American Society of Cytopathology A-18 286 1 American Society of Dermatopathology A-16 344 1 American Society of Echocardiography A-18 1,115 2 American Society of General Surgeons A-18 284 1 American Society of Hematology A-17 1,017 2 American Society of Interventional Pain Physicians A-20 652 2 American Society of Maxillofacial Surgeons I-17 102 1 American Society of Neuroimaging A-18 105 1 American Society of Neuroradiology A-16 464 1 American Society of Nuclear Cardiology A-20 683 2 American Society of Ophthalmic Plastic and Reconstructive Surgery A-18 142 1 American Society of Plastic Surgeons I-17 1,001 2 American Society of Retina Specialists A-20 575 2 American Society of Transplant Surgeons A-17 142 1 American Thoracic Society A-17 1,581 3 American Urological Association I-16 1,112 2 American Vein & Lymphatic Society A-20 238 1 Association of Military Surgeons of the United States¹ I-16 660 2 Association of University Radiologists A-20 179 1 College of American Pathologists A-17 2,586 4 Congress of Neurological Surgeons A-17 774 2

Date of Members 5 year at 5 year A-21 Specialty Society review1 review2 delegates Eye and Contact Lens Association, ECLA A-17 52 1 Heart Rhythm Society I-20 656 2 Infectious Diseases Society of America A-20 1,062 2 International Academy of Independent Medical Evaluators A-20 61 1 International College of Surgeons - US Section A-17 263 1 International Society for the Advancement of Spine Surgery A-20 109 1 International Society of Hair Restoration Surgery A-17 106 1 National Association of Medical Examiners I-19 193 1 North American Neuromodulation Society A-18 260 1 North American Neuro-Ophthalmology Society A-18 100 1 North American Spine Society I-16 1,131 2 Obesity Medicine Association A-16 253 1 Radiological Society of North America I-17 2,240 3 Renal Physicians Association A-16 568 2 Society for Cardiovascular Angiography and Interventions A-17 420 1 Society for Investigative Dermatology, Inc. A-17 310 1 Society for Vascular Surgery I-16 560 2 Society of American Gastrointestinal Endoscopic Surgeons I-16 921 2 Society of Cardiovascular Computed Tomography A-20 250 1 Society of Critical Care Medicine A-16 1,539 2 Society of Hospital Medicine A-20 2,389 3 Society of Interventional Radiology A-17 680 2 Society of Laparoendoscopic Surgeons A-19 985 2 Society of Nuclear Medicine and Molecular Imaging I-18 293 1 Society of Thoracic Surgeons I-17 935 2 Spine Intervention Society A-18 398 1 The Endocrine Society A-18 1,016 2 The Triological Society I-20 123 1 Undersea and Hyperbaric Medical Society A-20 123 1 United States and Canadian Academy of Pathology A-17 1,303 2 TOTAL 304

Elements of 2021 specialty society delegate apportionment National specialty societies currently seated in House of Delegates 124 Societies expected to be seated in June 0 Specialty delegates apportioned at 1 per 1000 AMA members 270 Delegates apportioned to constituent societies under Bylaw 2.1.1 304 Additional specialty delegates apportioned per Policy G-600.027 34

Notes: 1 Dates shown for 2020 are the scheduled reviews dates and do not reflect the Special Meetings. 2 Membership counts are taken from the most recently available data, typically the most recent five-year review.

This table reflects information available as of January 29, 2021 and is subject to change.

Memo to: Surgeons General, Federal Services Chief Medical Director, Department of Veterans Affairs Executive Directors, Professional Interest Medical Associations Executive Director, American Medical Women’s Association Executive Director, American Osteopathic Association Executive Director, National Medical Association Secretaries, AMA Sections

From: James L. Madara, MD

Date: February 3, 2021

Subject: 2021 Delegate Apportionment

Under our American Medical Association (AMA) bylaws (§2.6), the federal services (Air Force, Army, Navy, Public Health Service and the VA), American Medical Women’s Association, American Osteopathic Association, National Medical Association, and professional interest medical associations are each allotted one delegate (and one alternate) as are AMA sections.

Please ensure that your delegates and alternate delegates have renewed their AMA memberships for 2021. AMA bylaws specify that all delegates (§2.0.1.1) and alternate delegates (§2.8.1) must be AMA members, and individuals who are not members will not be included on a delegation roster. You will be notified of any discrepancies. Delegation rosters can be viewed at https://www.ama-assn.org/house- delegates/hod-organization/delegation-certification-rosters.